# EILEEN LAIDE SPEECH LANGUAGE PATHOLOGIST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114212545
- **Authorized official:** MS. EILEEN MARIE LAIDE MS CCC SLP (SLP)
- **Authorized official phone:** (718) 318-0306

## Contact information

- **Practice address:** 212 BEACH 133RD ST, BELLE HARBOR, NY 11694-1436
- **Practice address phone:** (718) 318-0306
- **Practice address fax:** (718) 945-0167
- **Mailing address:** 212 BEACH 133RD ST, BELLE HARBOR, NY 11694-1436
- **Mailing address phone:** (718) 318-0306
- **Mailing address fax:** (718) 945-0167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 011054 | NY | Yes |

## Other

- **Enumeration date:** 06/14/2011
- **Last updated:** 06/14/2011